Yamaguchi T, Naito H, Ohta M, Sugahara T, Takamiya M, Kozuka T, Nakajima N
Radiology. 1985 Sep;156(3):757-60. doi: 10.1148/radiology.156.3.4023239.
The fate of false lumens in 13 patients having Type III aortic dissections was studied using computed tomography (CT). Contrast media filled false lumens with or without thrombosis were observed in ten patients; the false lumens of three patients were entirely thrombosed at initial examination. Follow-up CT studies showed shrinkage or disappearance of the false lumens with thrombosis in four patients, progression of thrombosis in two patients, and enlargement of the false lumen in one patient who subsequently required surgical repair. No change was observed in the remaining six patients during our observation period. CT study provides useful information for evaluating the efficacy of medical treatment and the timing of surgical intervention during follow-up evaluation of medically treated Type III aortic dissections.
利用计算机断层扫描（CT）研究了13例III型主动脉夹层患者假腔的转归情况。在10例患者中观察到对比剂填充有或无血栓形成的假腔；3例患者的假腔在初次检查时完全血栓形成。CT随访研究显示，4例血栓形成的假腔缩小或消失，2例患者血栓形成进展，1例患者假腔扩大，随后需要手术修复。在我们的观察期内，其余6例患者未观察到变化。CT研究为评估药物治疗的疗效以及药物治疗的III型主动脉夹层随访评估期间手术干预的时机提供了有用信息。
